Class Registration Request Form

Once your online class registration request is complete you will be contacted by our Registrar.

For private lessons, please see our Student Profile Form.

If you are registering for Music Together® classes please visit: SSCreativeseeds.org.

Please Note: No financial information is requested in this form.

 

Student's First Name* A value is required.Minimum number of characters not met.
Student's Last Name* A value is required.Minimum number of characters not met.
Student's Date Of Birth* A value is required.Minimum number of characters not met.
Parent/Guardian's First Name* A value is required.Minimum number of characters not met.
Parent/Guardian's Last Name* A value is required.Minimum number of characters not met.
Street Address/P.O. Box* A value is required.Minimum number of characters not met.
City/Town/State* A value is required.Minimum number of characters not met.
Zip Code* A value is required.Minimum number of characters not met.
Evening/Home Phone* A value is required.Minimum number of characters not met.
Daytime/Work Phone* A value is required.Minimum number of characters not met.
Cell Phone
Email Address* A value is required.Minimum number of characters not met.
Emergency Contact's Name* A value is required.Minimum number of characters not met.
Emergency Contact's Home Phone* A value is required.Minimum number of characters not met.
Emergency Contact's Work Phone* A value is required.Minimum number of characters not met.
Emergency Contact's Cell Phone
*Required  

May we have permission to use photographs of your child for publicity purposes
ie. brochures, website, news releases, etc.?


May we have permission to use any testimonials you or your child offer for publicity purposes
ie. brochures, website, news releases, etc.?


Suzuki Instruction

For Suzuki Instruction please call or visit one of our campuses for registration.

Summer Programs

If applying for a Summer program, select one from the drop down menu. Please Note: Some Summer Programs do require an audition to attend.

Instrument/s or voice Grade (Fall 2013)

If applying for Curtain Going Up, Please specify week(s)

If applying for The Arts Tell a Story, Please specify week(s)

Would you like to be included on a car pool list?

Other Programs and Classes

Program descriptions, campus locations, days and times are located elsewhere on this website. Fill in the information below for the program or class you would like to register.

Those interested in registering for Preschool or Kindergarten please call or visit one of our campuses for registration.

How did you hear about South Shore Conservatory? (required field)

Please make a selection.


South Shore Conservatory admits students of any race, color, nationality, and ethnic origin to all rights and privileges, programs and activities generally accorded or made available to students at the school.